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July 1984

Autologous Fascia Grafts in Head and Neck Plastic Surgery

Author Affiliations

From the Departments of Head and Neck Surgery (Drs Everton, Lepore, Yim, Quilligan, and Van Sant) and Pathology (Dr Stacy), Tripler Army Medical Center, Tripler AMC, Hawaii.

Arch Otolaryngol. 1984;110(7):458-462. doi:10.1001/archotol.1984.00800330040009

• Using an experimental animal model, we studied the stability of the size (gross morphology) and structure (histomorphology) of the fascia autograft. Fascia from a rabbit's leg was grafted in the subcutaneous tissue of the ear and abdomen and also into the intra-abdominal cavity. The weight and size of the autograft were recorded during the study period. Our findings showed that the size of the autograft remained stable, but there was a substantial weight reduction. Microscopic examination of histopathologic sections disclosed that there was no inflammatory response to the fascia. It also appeared to maintain its histomorphologic structure. Clinical trials with patients receiving facial plastic surgery are also reported. We believe a fascia autograft can be used to augment facial areas. We base this conclusion on the findings from previous reports, our animal experiment, and clinical trials.

(Arch Otolaryngol 1984;110:458-462)

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